• Did observership with Dr. Hirsch for two weeks in general neurology unit inpatient service. • Followed the residents and attending closely on history taking, physical exam, and assessment plan. • Assisted chief resident in L.P (Lumber puncture) procedure. • Reviewed cases of the personally assigned patients with the attending and presented case updates during morning rounds. • Participated in pre-round assessment, resident morning reports, and noon conferences, and attended neurology conferences, grand rounds, neurology research seminars.…
The story takes place primarily in a mental hospital in Oregon. Based off of the use of shock therapy as treatment and brief mentions of the recent war (World War II,) readers can assume that the story takes place in the 1940’s or 1950’s. During this era, the knowledge of treatment for mental diseases was rather undeveloped as research concerning mental illnesses was still in early stages. Due to the lack of understanding of these diseases, mental hospitals created an atmosphere that is much different than that of mental hospitals in the modern world. Today, mental hospitals offer programs that focus on bettering individuals through use of therapy, social interaction, and some medicinal treatments if requested.…
My immediate reaction to Haywire: Children Living with Schizophrenia (2010), was disappointment because of how the media portrayed Schizophrenia, which contributes to exacerbating the stigma. This was evidenced by the insensitive use of language when phrases such as, “The innocent siblings in a psychotic world” and “Down the rabbit hole of hallucinations, for these kids and families, it’s no fairytale”, were used to spike the viewers’ interest. The broadcast seemed to provide the viewers with selective facts that enabled them portray Schizophrenia in childhood as they saw fit, but not to increase the public’s understanding of Schizophrenia in its entirety, or provide supportive ideas and resources to viewers. For example, according to Kiligus, Maxmen, & Ward (2016),…
I recently had the chance to listen to an entertaining lecture by Dr. Wes Pilkington. As he began talking, I could tell that his speech was going to be somewhat different than those I had heard before him. While he did not do a residency and was not extensively involved in leaderships roles like many of our other speakers, he has still found success after graduation. Although these activities are both important, he highlighted the significance of our rotations. He also offered us a unique perspective on the dangers of pharmacy, as he was the victim of a pharmacy robbery.…
Reimbursement of services provided by hospitals is becoming increasingly dependent on patient satisfaction scores. Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) surveys are used to determine patient satisfaction. Most of the questions in this survey are directly related to patient care. Patient satisfaction scores can affect a hospital’s ability to attract patients positively or negatively and increase reimbursements to their facility.…
I reached in class on time, in a proper dress code as per college policy, and followed reading clinical nursing skills book, teachers recommended check list on the blackboard, and did pre-test of the ATI modules for this week. I applied hand hygiene before applied procedure, identify by patient name, DOB, and ID band and confirmed that patient was not in pain at the moment. Also, I explained procedure to pt. before applied anything.…
Behavioral medication is a field of science that applies biomedical science knowledge to prevent, diagnose, and treat disorders that affect the development, behavior, and psychological mindsets of diagnosed individuals in order to improve mental health and reduce major symptoms. This includes anxiety, depression, asthma, cystic fibrosis, diabetes, and substance abuse (Behavioral Medicine). However, treatments are expensive and prescribed medications do not work for everyone. In fact, a study in 2005 revealed that the annual cost of illness for patients diagnosed with Attention-deficit hypertension disorder (ADHD) was between 32 billion and 52 billion dollars (New Data: Medication and Behavior Treatment). Also, some medications, such as antidepressants,…
Beginning in the late 19th century, placements for children and adolescents who were considered intellectually disabled, sick, poor, or mentally ill were primarily based out of orphanages, hospitals, and asylums (Sonis, 1967). Though these residences were often not able to provide the children with the time and care they needed, families would send their children in hopes of a better life for them. As the population in these facilities grew, the need for more humane treatment and trained staff lead to the exploration and development of modern psychiatric facilities. These centers would later be adapted to what is now considered residential treatment facilities (Leichtman, 2006).…
John Krumboltz’s Happenstance Learning Theory discusses that human behavior is the result of different learning experiences made available by both planned and unplanned situations in which human beings find themselves. Since no one can know in advance the destiny or outcome of an individual’s decision, Krumboltz used the Happenstance Learning Theory as an attempt to explain why individuals follow certain career paths in life and how counselors can use this theory to guide their clients through this process. The Happenstance theory explains that every situation (planned or unplanned) is a potential opportunity for someone, as long as they are open and willing to capitalize on these moments. In my own life, I can look back and see where Happenstance…
Before I started the 540 course, my theoretical orientation was Psychodynamic and I desired to become more knowledgeable of the Humanistic approaches. However, after the lectures of the Gestalt theory and practicing the approaches in A/B groups, I grew an urge to become more educated on this theory and its interventions. While I was enrolled in the 520 COUN course, I was hesitant about applying this theory into my mock sessions. Although, after seeing demonstrations, listening to the lectures, and practicing the approach in our A/B groups, I became confident about applying this approach into my future sessions.…
In addition, I spent time shadowing physicians in a variety of specialties, including orthopedics, internal…
My first in hospital clerckship experiance started in Warner Robbins, Georgia. The different cases I saw enlightened me and shed light upon the importance of exposing oneself and allowing yourself to be part of a team of doctors. The things I learnt in the four week period I spent there was patient centered and targeted evidenced based medicine at all times. Although I was fresh out of the basic years of medical school doctors where enthusiastic about teaching me yet challanging the knowledge I already attain and allowed me to have a hallmark transition into clinical based practice. I remember seeing cases I only imagined to be in medical textbooks.…
history, Americans have used prescription drugs as a quick and temporary solution for psychological problems. In difficult and stressful times, it is easy for individuals to turn towards a medication that will make them feel better and free them of their problems. When looking at the birth of prescription benzodiazepines in America, history tends to inexorably repeat itself. Beginning in the 1960s, doctors began to prescribe Valium in extremely high quantities. The same goes for more recent drugs such as Ritalin and Oxycontin.…
Reflection 1 During the clinical rotations program, I have identified three objectives, which will enable me to be intentional in terms of my learning experience for these next two months. My first objective is in line with MHA Competency 7. The objective is to obtain an understanding of the provider’s perspective of healthcare and of the interaction between the clinical and management function. Career wise, my goal is to become an executive leader in a fully integrated medical center. However, to date, I have no clinical background or exposure to working within an inpatient setting at the point of patient care.…
My first clinical experience was at St. Vincent hospital on a geriatric unit, when I was a second year nursing student. During my time there, nurses often approached me to provide small learning experiences and teach students how to be efficient. When a nurse on the unit asked for help with a bed bath for a patient with whom I was not familiar, I agreed. I wanted to get as much experience as I could. The nurse led me to the patient 's room right away.…